K Number
K964871
Date Cleared
1997-03-03

(88 days)

Product Code
Regulation Number
876.1500
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Syringe Flushing/Cleaning Pump is intended to clean the Biosearch Endoscopic Instruments. The Syringe Flushing/Cleaning Pump is a device that helps remove debris that may get trapped inside the Biosearch Endoscopic Instrument.

Device Description

The Disposable Syringe Flushing/Cleaning Pump for Biosearch Endoscopic Instruments, is a similar design to an existing legally marketed device. It is composed of a variety of medical grade plastics. The threaded connector is especially designed to fit the flushing port of the Biosearch Endoscopic device which impedes water leakage during the cleaning process. The dual check valve is an important feature because it provides an efficient transfer of the water, and/or cleaning fluid. This will provide a sanitary environment for the medical health professional to perform the extensive cleaning of the Biosearch Endoscopic Instruments.

AI/ML Overview

The provided document is a 510(k) premarket notification for a medical device (Biosearch Syringe Flushing/Cleaning Pump for Biosearch Endoscopic Instruments). This type of document is for demonstrating substantial equivalence to a legally marketed predicate device, not typically for reporting on a study that establishes acceptance criteria for a new device's performance against clinical endpoints.

Instead, the document focuses on safety and effectiveness primarily through demonstrating:

  1. Substantial Equivalence: By comparing the device's features and intended use to an existing legally marketed device (MILL-ROSE "Cleaning Adapter" {K922204}).
  2. Biocompatibility: By detailing tests performed on the materials used in the device.

Therefore, the requested information about acceptance criteria, device performance from a study, sample sizes, expert adjudication, MRMC studies, standalone performance, and ground truth establishment for clinical efficacy or diagnostic accuracy is not applicable to this document. The device is a cleaning pump, not a diagnostic or therapeutic clinical device that would require such studies for its clearance.

However, I can extract information related to the material safety (biocompatibility) tests which serve as acceptance criteria for the various materials used in the device.


Acceptance Criteria and Study for Material Safety (Biocompatibility)

The "studies" described here are biocompatibility tests for the materials used in the device. The acceptance criterion is generally compliance with USP Class VI requirements or specific extractable/cytotoxicity test results.

1. Table of Acceptance Criteria and Reported Device Performance (Material Biocompatibility)

MaterialTest PerformedAcceptance CriteriaReported Result (Performance)
PolyVinyl ChlorideUSP tests for Systemic Injection Test, Intracutaneous Injection Test, Implantation testMeets the requirements of USP Class VI PlasticMeets the requirements of USP Class VI Plastic
Polyurethane Tecothane™ TT-1080AMEM Elution TestMeets the requirements of the Elution Test, USP XXII for the Elution TestMeets the requirements of the Elution Test, USP XXII for the Elution Test
Polyurethane Tecothane™ TT-1080ABiological Test for Plastics Class VIMeets the requirements of the USP XXII for the Biological Test of PlasticMeets the requirements of the USP XXII for the Biological Test of Plastic
Polyurethane Pellethane2363 SeriesAcute Systemic Toxicity, Intracutaneous Toxicity, Implantation TestMeets the requirements of the USP Class XIMeets the requirements of the USP Class XI
Polycarbonate HPS2-1125Cytotoxicity, Hemolysis, Implantation, USP Class V Extractables, USP Physicochemical-PlasticsMeets the requirements of Class VI in Vivo & in Vitro Biological Reactivity, USP Physicochemical-PlasticMeets the requirements of Class VI in Vivo & in Vitro Biological Reactivity, USP Physicochemical-Plastic
Dow Corning RX50 CT Silastic RibbonCytotoxicity, Hemolysis, Implantation, USP Class V Extractables, USP Physicochemical-PlasticsMeets the requirements of Class VI in Vivo & in Vitro Biological Reactivity, USP Physicochemical-PlasticMeets the requirements of Class VI in Vivo & in Vitro Biological Reactivity, USP Physicochemical-Plastic
Alpha PVC 2212/7 118 RSI ClearUSPXX Systemic Injection Test, USPXX Intramuscular implantation, USP XX Intracutaneous Test, Direct Exposure Cytotoxicity TestMeets the USP Class VI requirementsMeets the USP Class VI requirements
Cyrolite® G20-300-001Systemic Toxicity, Intracutaneous Toxicity, MEM Elution, Hemolysis, Pyrogen, Guinea Pig Max. Implantation TestMeets the USP Class VI requirementsMeets the USP Class VI requirements
Cyrolite® G20-100-001Systemic Toxicity, Intracutaneous Toxicity, Implantation Test Hemolysis, MEM Elution Pyrogen, Guinea Pig Max.Meets the USP Class VI requirementsMeets the USP Class VI requirements
Radel R-5100Systemic Toxicity, Intracutaneous Toxicity, Implantation TestMeets the USP Class VI requirementsMeets the USP Class VI requirements
Silastic Medical Grade {7-4735, 7-4750, 7-4765}Hemolysis, Intracutaneous Injection, Systemic Injection Intramuscular ImplantMeets the USP Class VI Plastic TestsMeets the USP Class VI Plastic Tests
Silastic Biomedical Grade Liquid {Q-7-480, 6860}Hemolysis, Skin Sensitization USP Class V ExtractablesPasses the Hemolysis Skin Sensitization, & USP Class V Extractables TestsPasses the Hemolysis Skin Sensitization, & USP Class V Extractables Tests

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Sample Size: Not explicitly stated in terms of number of test subjects or samples per test for each material. Biocompatibility tests usually involve a statistical number of in vitro or in vivo samples (e.g., cell cultures, animal models) as defined by the specific USP or ISO standards for each test. This document only reports the results against the standard.
  • Data Provenance: "Vendor Supplied" for many materials, indicating the data was provided by the raw material manufacturers. Some tests have specific dates (e.g., 6/26/91-6/28/91), suggesting they were conducted at specific times, likely by the material vendors or contract labs. The country of origin for the data is not specified, but the applicant company is US-based. These are typically retrospective reports on material properties.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

  • Not Applicable. For biocompatibility tests, the "ground truth" is defined by the established scientific protocols and criteria within the USP (United States Pharmacopeia) guidelines or similar international standards (e.g., ISO 10993). The interpretation is typically performed by specialists in toxicology or microbiology, rather than expert consensus as in a clinical diagnostic study. No specific number or qualifications of "experts" are provided in this document as would be for clinical endpoint studies.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

  • Not Applicable. Adjudication methods like 2+1 or 3+1 are used for resolving disagreements in human interpretations of clinical data. This is not relevant for standardized laboratory biocompatibility tests, where results are objectively measured against defined pass/fail criteria.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

  • Not Applicable. This device is a manual cleaning pump, not an AI-assisted diagnostic or therapeutic tool. No MRMC study was performed or is relevant.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

  • Not Applicable. This is a mechanical device, not an algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

  • The "ground truth" equivalent for these material tests is compliance with established biological safety standards and test parameters (e.g., USP Class VI requirements, specific elution limits, absence of cytotoxicity). These standards are developed through extensive scientific research and consensus in the field of biocompatibility.

8. The sample size for the training set

  • Not Applicable. This is not a machine learning or AI-driven device, so there is no "training set."

9. How the ground truth for the training set was established

  • Not Applicable. (No training set).

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K964871

Image /page/0/Picture/1 description: The image shows the logo for Biosearch Medical Products Inc. The logo is in black and white and features the word "biosearch" in a bold, sans-serif font. The "i" in "biosearch" is dotted with a stylized image of a flask. Below the word "biosearch" is the phrase "MEDICAL PRODUCTS INC." in a smaller, sans-serif font.

MAR - 3 1997

1

> 510(k) SUMMARY SAFFETY & EFFECTIVENESS SUMMARY

BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS

Manufactured / Sold by:

Biosearch Medical Products, Inc. 35 Industrial Parkway P.O. Box 1700 Somerville, NJ. 08876 {USA}

Telephone : 1-908-722-5000 Fax : 1-908-722-5024

Contact Person:

R. Soubra
POLAN SOUBRA

AN SOUBRA

Assistant to the Vice President of New Product Development Coordinator

12/2/96
date submitted

P.O. Box 1700 Somerville, NJ. 08876-1276 (USA) Biosearch Medical Products, Inc. FAX: 908-722-5024 TEL: 908-722-5000

{1}------------------------------------------------

Biosearch Medical Products, Inc. -- 510(k) submission for: BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS

INTENDED USE STATEMENT: The Syringe Flushing/Cleaning Pump is intended to clean the Biosearch Endoscopic Instruments.

The Syringe Flushing/Cleaning Pump is a device that helps remove debris that may get trapped inside the Biosearch Endoscopic Instrument.

DESCRIPTION OF THE DEVICE:

The Disposable Syringe Flushing/Cleaning Pump for Biosearch Endoscopic Instruments, is a similar design to an existing legally marketed device. It is composed of a variety of medical grade plastics.

The threaded connector is especially designed to fit the flushing port of the Biosearch Endoscopic device which impedes water leakage during the cleaning process.

The dual check valve is an important feature because it provides an efficient transfer of the water, and/or cleaning fluid. This will provide a sanitary environment for the medical health professional to perform the extensive cleaning of the Biosearch Endoscopic Instruments.

Image /page/1/Figure/7 description: The image shows a diagram of an endoscopic device with a syringe and directional valve. The diagram includes labels for the different parts of the device, such as the endoscope, threaded portion, discharge line, directional valve, syringe, and flushing medium. The principle of operation is described, explaining how the syringe plunger is used to fill the syringe with fluid and how the directional valve allows the fluid to pass through the discharge line to the endoscope.

2

{2}------------------------------------------------

Biosearch Medical Products, Inc. -- 510(k) submission for: BIOSEARCH SYRINGE

FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS

NAME&510(K) No.For CleaningEndoscopicInstrumentsConnects tothe proximalportUses a syringe to pumpcleaning fluid
BIOSEARCH"BiosearchFlushing/CleaningPump for BiosearchEndoscopic Instruments"{This submission}YESYESYES
MILL-ROSE"Cleaning Adapter"{K922204}YESYESYES

3

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PAGE 1

SAFETY & EFFECTIVENESS SUMMARY Biosearch Medical Products, Inc. BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS

NO PATIENT CONTACT

MATERIALTEST DATETEST PERFORMEDRESULTS
PolyVinyl ChlorideVendor SuppliedUSP tests for SystemicInjection Test, IntracutaneousInjection Test, ImplantationtestMeets therequirements of USPClass VI Plastic
PolyurethaneTecothane™TT-1080A6/26/91-6/28/91MEM Elution TestMeets therequirements of theElution Test, USPXXII for the ElutionTest
PolyurethaneTecothane™TT-1080A6/14/91-6/29/91Biological Test for PlasticsClass VIMeets therequirements of theUSP XXII for theBiological Test ofPlastic
PolyurethanePellethane2363SeriesVendor SuppliedAcute Systemic Toxicity,Intracutaneous Toxicity,Implantation TestMeets therequirements of theUSP Class XI
PolycarbonateHPS2-1125Vendor SuppliedCytotoxity, Hemolysis,Implantation, USP Class VExtractables, USPPhysicochemical-PlasticsMeets therequirements ofClass VI in Vivo &in Vitro BiologicalReactivity, USPPhysicochemical-Plastic
Dow Corning RX50CT Silastic RibbonCytotoxity, Hemolysis,Implantation, USP Class VExtractables, USPPhysicochemical-PlasticsMeets therequirements ofClass VI in Vivo &in Vitro BiologicalReactivity, USPPhysicochemical-Plastic
MATERIALTEST DATETEST PERFORMEDRESULTS
Alpha PVC 2212/7118 RSI Clear6/20/886/18/84-6/25/846/20/84USPXX Systemic Injection TestUSPXXIntramuscular implantation,USP XX Intracutaneous Test,Direct Exposure Cytoxicity TestMeets the USPClass VI requirements
Cyrolite®G20-300-001Vendor SuppliedSystemic Toxicity,Intracutaneous Toxicity,MEM Elution, Hemolysis,Pyrogen, Guinea Pig Max.Implantation TestMeets the USPClass VI requirements
Cyrolite®G20-100-001Vendor SuppliedSystemic Toxicity,Intracutaneous Toxicity,Implantation TestHemolysis, MEM ElutionPyrogen, Guinea Pig Max.Meets the USPClass VI requirements
Radel R-5100Vendor SuppliedSystemic Toxicity,Intracutaneous Toxicity,Implantation TestMeets the USPClass VI requirements
Silastic MedicalGrade {7-4735,7-4750, 7-4765}Vendor SuppliedHemolysis, IntracutaneousInjection, Systemic InjectionIntramuscular ImplantMeets the USPClass VI Plastic Tests
Silastic BiomedicalGrade Liquid{Q-7-480, 6860}Vendor SuppliedHemolysis, Skin SensitizationUSP Class V ExtractablesPasses the HemolysisSkin Sensitization,&USP Class VExtractables Tests

: ・

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PAGE 2 SAFETY & EFFECTIVENESS SUMMARY Biosearch Medical Products, Inc. BIOSEARCH SYRINGE FLUSHING/CLEANING PUMP FOR BIOSEARCH ENDOSCOPIC INSTRUMENTS

NO PATIENT CONTACT

§ 876.1500 Endoscope and accessories.

(a)
Identification. An endoscope and accessories is a device used to provide access, illumination, and allow observation or manipulation of body cavities, hollow organs, and canals. The device consists of various rigid or flexible instruments that are inserted into body spaces and may include an optical system for conveying an image to the user's eye and their accessories may assist in gaining access or increase the versatility and augment the capabilities of the devices. Examples of devices that are within this generic type of device include cleaning accessories for endoscopes, photographic accessories for endoscopes, nonpowered anoscopes, binolcular attachments for endoscopes, pocket battery boxes, flexible or rigid choledochoscopes, colonoscopes, diagnostic cystoscopes, cystourethroscopes, enteroscopes, esophagogastroduodenoscopes, rigid esophagoscopes, fiberoptic illuminators for endoscopes, incandescent endoscope lamps, biliary pancreatoscopes, proctoscopes, resectoscopes, nephroscopes, sigmoidoscopes, ureteroscopes, urethroscopes, endomagnetic retrievers, cytology brushes for endoscopes, and lubricating jelly for transurethral surgical instruments. This section does not apply to endoscopes that have specialized uses in other medical specialty areas and that are covered by classification regulations in other parts of the device classification regulations.(b)
Classification —(1)Class II (special controls). The device, when it is an endoscope disinfectant basin, which consists solely of a container that holds disinfectant and endoscopes and accessories; an endoscopic magnetic retriever intended for single use; sterile scissors for cystoscope intended for single use; a disposable, non-powered endoscopic grasping/cutting instrument intended for single use; a diagnostic incandescent light source; a fiberoptic photographic light source; a routine fiberoptic light source; an endoscopic sponge carrier; a xenon arc endoscope light source; an endoscope transformer; an LED light source; or a gastroenterology-urology endoscopic guidewire, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9.(2) Class I for the photographic accessories for endoscope, miscellaneous bulb adapter for endoscope, binocular attachment for endoscope, eyepiece attachment for prescription lens, teaching attachment, inflation bulb, measuring device for panendoscope, photographic equipment for physiologic function monitor, special lens instrument for endoscope, smoke removal tube, rechargeable battery box, pocket battery box, bite block for endoscope, and cleaning brush for endoscope. The devices subject to this paragraph (b)(2) are exempt from the premarket notification procedures in subpart E of part 807of this chapter, subject to the limitations in § 876.9.